Individual provider Active NPI

Eugene Daniel Harasym, M.D.

  • Family Medicine Physician
  • Covington Township, PA
National Provider Identifier
1144267790
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD021509E Issued in PA
Practice address
921 Drinker Tpke
Covington Township, PA 18444-7947
Phone
(570) 842-0945
Fax
(570) 842-6135
NPI assigned
Jun 1, 2006
Last updated
Aug 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD021509E PA Primary

Addresses

Primary practice location

921 Drinker Tpke
Covington Township, PA 18444-7947

Mailing address

921 Drinker Tpke
Covington Township, PA 18444-7947
Phone (570) 842-0945

Other identifiers 1

IdentifierTypeStateIssuer
0006914470005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000265 PA Practitioner - Family Practice 6406755941 Reassigns benefits to 1 organization
Practice locations: Covington Township, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD021509EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lackawanna Medical Group PC Family Medicine CurrentSince Aug 19, 2019 Accepting new patients
Allied Health Care Services PastSince Aug 19, 2019 Accepting new patients
Scranton Clinic Company LLC Past Accepting new patients
Scranton Clinic Company LLC Family Medicine Past Accepting new patients
Eugene D Harasym Family Medicine PastSince Aug 31, 2001 Accepting new patients

Locations

201 Smallacombe Dr
Scranton, PA 18508
Phone (570) 961-0171

Interoperability endpoints

  • Direct secure messaging: eharasym@lmg.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1144267790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 DRINKER TPKE",
            "city": "COVINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184447947",
            "telephone_number": "570-842-0945",
            "fax_number": "570-842-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 DRINKER TPKE",
            "city": "COVINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184447947",
            "telephone_number": "570-842-0945",
            "fax_number": "570-842-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARASYM",
        "first_name": "EUGENE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD021509E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006914470005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington Township, PA

Sources for this page

Verify at the official NPI Registry.